HomeMy WebLinkAbout2012-Electric (lighting and switches) C)) CITY OF OSHKOSH No 153189
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 355 N WASHBURN ST Owner BERGSTROM CHEVROLET CADILLAC OF Create Date 10/25/2012
Contractor FAITH TECHNOLOGIES, INC. Category 643-Commercial-Addition/Remodels Plan _
Inspector Adam Krause
Service 0 New • Change 0 Temp O N/A Type O Overhead O Underground
Volts 480/277 Circuits - - Luminaires 30
Amps 800 Switches 3 Receptacles 3
Appliances
i
Use/Nature of COMM/REWOKR LIGHTING SWITCHES FOR THE VESTIBULE&SHOWROOM, RECEPTION AND GENERAL MANAGERS
Work OFFICES **check#968942
Fees: Valuation $36,400.00 Plan Approval $0.00 Permit Fee Paid $322.20
Issued By: &rn LA_ Date 10/25/2012
❑ Permit Voided Parcel Id# 1615060200
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 260 MENASHA WI 54952 -260 Telephone Number (920)738-1513
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 R
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account
DATE tO I iq l L
JOB ADDRESS 35� t4 o cv\ &—. f OSlk-V-0SL 5`fg O +
OWNER r Oi rnM
CONTRACTOR , `� 1r. l�..c ::s o.t/te.5 t ,(`tC,
CHECK®ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex OMulti-Family ❑Rental Commercial ❑Industrial
SERVICE ❑N w OTemporary TYPE ❑Overhead ❑Not Applicable
Rthange ONot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 4KV / Z:n Receptacles# Circuits#
Phase 5
Amps FO',t Switches# Fixtures #
CHECK Pi ALL APPLICABLE
ORange ❑Dishwasher OGarbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower ❑Furnace ❑A/C [T Iectric Sign
❑Motors ❑Gas Pumps other tx6, D tif- 1f dt`" i'°`
DC..;CRIPTION OF ALL WORK BEING DONE 12 ,,�d► 0 ,i ` 4'4 r
)-61" t tl1'ti f 10:0 ? L',;ro "Ykk / .el-er S t ,+ -J, ',e4 4,..e red) /loo-7A 'e✓fr
VALUE (Including labor and all materials including light fixtures)$ 3i4 14t O< (1--)
/ S , rMASTER ELECTRICIAN 11 , g:
3/02
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